Family Process最新文献

The family alliance as a facilitator of therapeutic change in systemic relational psychotherapy for borderline personality disorder: A case study 在治疗边缘型人格障碍的系统关系心理疗法中，家庭联盟是治疗变化的促进因素：案例研究

IF 3.9 3区心理学

Family Process Pub Date : 2024-09-11 DOI: 10.1111/famp.13052

Iolanda D'Ascenzo, Anna Vilaregut, Verónica Zurdo, Sonia Torras, Ignacio Bolaños Cartujo

{"title":"The family alliance as a facilitator of therapeutic change in systemic relational psychotherapy for borderline personality disorder: A case study","authors":"Iolanda D'Ascenzo, Anna Vilaregut, Verónica Zurdo, Sonia Torras, Ignacio Bolaños Cartujo","doi":"10.1111/famp.13052","DOIUrl":"https://doi.org/10.1111/famp.13052","url":null,"abstract":"Managing the Therapeutic Alliance is often complex when it comes to the treatment of borderline personality disorder (BPD), but the alliance is crucial for the success of the therapy. Combined individual and family interventions have been shown to be very useful in treating of these cases. This study has two objectives. First, to describe how the family therapeutic alliance facilitates therapeutic change through family psychotherapy for families with a member diagnosed with BPD. Second, to analyze how the therapeutic change achieved through combined individual and family systemic relational psychotherapy affects the individual functioning of the patient with BPD. This single case study used the System of Observation of Family Therapy Alliances (SOFTA‐o) to analyze the therapeutic alliance, along with two semi‐structured clinical interviews, one at the beginning and one at the end of therapy. Results show a dynamic and positive evolution of the therapeutic alliance throughout the therapeutic process and how this alliance facilitated therapeutic change, both reducing the symptomatology of the patient with BPD and improving family communication and functioning. Results contribute to highlighting the importance of including family therapy as an intervention unit in protocols for patients with BPD.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142184480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Within-family processes among safety nets, maternal parenting stress, and child behavioral problems among low-income families: The importance of race and ethnicity. 低收入家庭的安全网、母亲养育压力和儿童行为问题之间的家庭内部过程：种族和民族的重要性。

IF 2.6 3区心理学

Family Process Pub Date : 2024-09-06 DOI: 10.1111/famp.13056

Qiong Wu, Melissa Radey, Lenore McWey, Eugenia Flores Millender

{"title":"Within-family processes among safety nets, maternal parenting stress, and child behavioral problems among low-income families: The importance of race and ethnicity.","authors":"Qiong Wu, Melissa Radey, Lenore McWey, Eugenia Flores Millender","doi":"10.1111/famp.13056","DOIUrl":"https://doi.org/10.1111/famp.13056","url":null,"abstract":"Research has long emphasized the adverse effects of poverty on children; however, within-family processes of how safety nets offset the effects of poverty differ by race and ethnicity are unclear. Guided by the context-sensitive family stress model, the current study investigated within-family processes among safety nets, maternal parenting stress, and child behavioral problems among low-income families and revealed differences in these processes among Hispanic, Black, and White mothers. Using The Future of Families and Child Wellbeing Study (FFCWS), participants included 2251 low-income mothers and their children, repeatedly surveyed when children were 1, 3, 5, and 9 years old. Mothers reported their public and private safety nets, their parenting stress levels, and children's behavioral problems at each time point. Multilevel models revealed within-family mediation pathways from mothers' perceived private safety net supports, maternal parenting stress, and child externalizing and internalizing problems, but only for Black, not for White or Hispanic mothers. Prospective within-family associations were found between receiving a high number of public safety net programs and higher child externalizing problems, as well as between receiving private safety nets and higher maternal parenting stress and higher child behavioral problems. Findings were discussed in light of the context-sensitive family stress model, with implications for theory and intervention practices.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A latent profile analysis of relationship satisfaction and self-regulation among low-income participants who attended relationship education with a partner. 对参加过伴侣关系教育的低收入参与者的关系满意度和自我调节能力进行潜在特征分析。

IF 2.6 3区心理学

Family Process Pub Date : 2024-09-06 DOI: 10.1111/famp.13051

Ryan G Carlson, Naomi J Wheeler, Xun Liu, Nakita Carroll

{"title":"A latent profile analysis of relationship satisfaction and self-regulation among low-income participants who attended relationship education with a partner.","authors":"Ryan G Carlson, Naomi J Wheeler, Xun Liu, Nakita Carroll","doi":"10.1111/famp.13051","DOIUrl":"https://doi.org/10.1111/famp.13051","url":null,"abstract":"Relationship education has shown promising effects for low-income couples on outcomes such as promoting positive communication, improving global relationship satisfaction, parenting, and individual psychological distress. Studies also indicate that couples' baseline distress (e.g., relational and individual) moderates outcomes. Yet, few studies implemented a person-centered approach to analyzing data for those who participate in relationship education. In a sample of 488 low-income opposite-gendered couples, we identified latent profile groups for men and women based on self-reported relationship satisfaction and behavioral self-regulation scores, thus incorporating both relational and individual factors. Results yielded a three-class solution for men and a four-class solution for women. We then examined group profile differences in individual psychological distress and relationship satisfaction change scores after completing the relationship education intervention (12 h of PREP's Within Our Reach). Results indicated significant differences, suggesting that group membership can predict overall improvements in both psychological and relationship distress. Thus, RE programmers and policymakers may consider flexible delivery (e.g., more or less content; more or less intense coaching) that considers overall baseline relational and/or individual functioning as opposed to a one-size-fits-all method.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hopelessness for family members of individuals with borderline personality disorder. 边缘型人格障碍患者家属的绝望感。

IF 2.6 3区心理学

Family Process Pub Date : 2024-09-05 DOI: 10.1111/famp.13045

Mary Joyce, Mary Kells, Emily Boylan, Paul Corcoran, Bláthín Power, Stephanie Wall, Daniel Flynn

{"title":"Hopelessness for family members of individuals with borderline personality disorder.","authors":"Mary Joyce, Mary Kells, Emily Boylan, Paul Corcoran, Bláthín Power, Stephanie Wall, Daniel Flynn","doi":"10.1111/famp.13045","DOIUrl":"https://doi.org/10.1111/famp.13045","url":null,"abstract":"Family members and loved ones of individuals with Borderline Personality Disorder (BPD) can experience high levels of distress. Types of distress reported by family members include burden, grief, depression, guilt, and powerlessness. Hopelessness is a construct that has received little attention despite its potential relevance for this group. This study sought to examine, and assess potential change in, hopelessness among individuals attending a 12-week Family Connections (FC) program. Participants were 75 family members, 29 men and 46 women. Most participants were parents (n = 43; 57%). Data were collected at four time-points and outcomes included hopelessness, burden, and grief. The majority of participants (82%) reported scores within the 'minimal' or 'mild' ranges of hopelessness before the FC program. A greater proportion of participants in the 60-70 year age group reported scores in the 'moderate/severe' category when compared with younger age groups. The mean hopelessness score for all participants before FC was 4.61 which is considered mild. There was no significant difference in hopelessness scores after program completion. Although mean scores increased at both 3-month and 12-month follow-ups, they continued to remain in the 'mild' category. Hopelessness scores in the current study are similar to those reported in previous studies, although no significant change was found after FC completion. Concepts of personal vs. situational hopelessness should be considered, as well as the relevance of assessing personal hopelessness for this participant group. Further research is needed to determine the relationship between family member hopelessness and index client wellbeing.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and psychometric evaluation of a new domain-specific coparenting measure: Coparenting Children's Emotion Scale. 针对特定领域的新型共同养育测量方法的开发和心理测量评估：养育子女情绪量表。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-21 DOI: 10.1111/famp.13031

Christina C Ambrosi, Phillip S Kavanagh, Subhadra Evans, Sophie S Havighurst

{"title":"Development and psychometric evaluation of a new domain-specific coparenting measure: Coparenting Children's Emotion Scale.","authors":"Christina C Ambrosi, Phillip S Kavanagh, Subhadra Evans, Sophie S Havighurst","doi":"10.1111/famp.13031","DOIUrl":"https://doi.org/10.1111/famp.13031","url":null,"abstract":"Caregivers play an integral role in supporting children's development, not only through their individual parenting practices but also how they work together as coparents. The literature on coparenting is extensive; however, most of the research has relied on global measures to assess the quality and functioning of the coparenting relationship. Examining the coparenting relationship with domain-specific measures enables a deeper understanding of this complex family process. One domain of particular interest is emotion socialization given the vast and long-term consequences emotion socialization has on children's emotional, social, behavioral, and psychological functioning. Emotion socialization literature would benefit from a domain-specific coparenting measure, as researchers have rarely explored how coparents work together when responding to their children's emotions (i.e., coparenting children's emotions). As such, an emotion-focused coparenting measure could address gaps in both coparenting and emotion socialization literature. This study outlines the development and psychometric evaluation of a domain-specific measure of coparenting, the Coparenting Children's Emotion Scale (CCES), which assesses how parents work together when responding to their children's emotions. In the current study, the factor structure, reliability, and validity of the CCES were examined in an Australian sample. Findings from exploratory and confirmatory factor analyses showed that the CCES comprises two subscales that capture coparents' levels of support/cooperation and undermining. In the current sample, both CCES subscales demonstrated good to excellent internal consistency, and good convergent and concurrent validity. The CCES will provide researchers and practitioners with a domain-specific measure to use in exploratory and intervention research.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bolstering family therapy: Assimilating EMDR into ABFT in youth residential treatment. 加强家庭治疗：在青少年寄宿治疗中将 EMDR 融入 ABFT。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-15 DOI: 10.1111/famp.13050

Meredith Dellorco, Olivia Lynch, Erin Ziegelmeyer, Michael Roeske, Payne Winston-Lindeboom, Guy Diamond

{"title":"Bolstering family therapy: Assimilating EMDR into ABFT in youth residential treatment.","authors":"Meredith Dellorco, Olivia Lynch, Erin Ziegelmeyer, Michael Roeske, Payne Winston-Lindeboom, Guy Diamond","doi":"10.1111/famp.13050","DOIUrl":"https://doi.org/10.1111/famp.13050","url":null,"abstract":"The psychotherapy field has a long history of integration to improve treatment effectiveness. One type, assimilative integration, offers innovative opportunities to family therapy to incorporate the clinical and research contributions of different approaches. This paper contributes to the literature on integration by exploring how Eye Movement Desensitization and Reprocessing (EMDR) can be assimilated into Attachment-Based Family Therapy (ABFT) for youth in residential psychiatric treatment. ABFT seeks to improve attachment security to parental figures by asking adolescents and young adults to discuss attachment ruptures. This process, specially designed for patients with internalizing disorders, can provoke anxiety, particularly for a patient population that commonly has a history of trauma and adverse life experiences. EMDR is a first-line therapy for post-traumatic stress disorder and has the potential to be effective in treating various other mental health conditions. When patient emotional withdrawal or dysregulation due to breaches in trust between child and parent emerges in ABFT, EMDR may help desensitize associated memories and bolster the family therapy process. The authors provide an overview of both models, and a detailed case study as an example. The paper concludes with a discussion on implications, integration efforts, and limitations.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Forming our grief rhythm: The relational window of tolerance for bereaved parents. 形成我们的悲伤节奏：丧子父母的宽容关系窗口。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-14 DOI: 10.1111/famp.13048

Jessica Barboza, Ryan Seedall, An Hooghe, Julie Kaplow, Spencer Bradshaw

{"title":"Forming our grief rhythm: The relational window of tolerance for bereaved parents.","authors":"Jessica Barboza, Ryan Seedall, An Hooghe, Julie Kaplow, Spencer Bradshaw","doi":"10.1111/famp.13048","DOIUrl":"https://doi.org/10.1111/famp.13048","url":null,"abstract":"The shared loss of a child can present challenges to couple relationships as both partners attempt to cope with their own grief and their partner's grief. In this longitudinal qualitative study, five bereaved parent couples participated in 13 total interviews, revealing coregulatory interactions surrounding their shared loss. Using thematic coding and grounded theory analysis, their reflections were organized into three interrelated process themes: regulating self, regulating other, and forming our grief rhythm. This article explores the complexity of the last theme \"forming our grief rhythm\" in-depth, and a new theoretical orientation, the relational window of tolerance, is introduced to examine how couples coregulate both fragile and stable states within their shared grief. The reflections of bereaved parents indicated that prolonged \"dual fragile states\" and prolonged \"imbalanced states\" may hinder relationship quality. In order to regain relationship stability, couples learned to trade off supporting one another and/or to resonate with one another in their shared pain. Implications for future research and clinical practice are discussed, focusing especially on how to integrate individual and relational needs into grief therapy frameworks.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family reaction to coming out (FRCO): A Spanish adaptation and validation of perceived parental reactions scale. 家庭对出柜的反应（FRCO）：感知父母反应量表的西班牙文改编和验证。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-08 DOI: 10.1111/famp.13047

Juan E Nebot-Garcia, Rafael Ballester-Arnal, Estefanía Ruiz-Palomino, Olga Fernández-García, María Dolores Gil-Llario

{"title":"Family reaction to coming out (FRCO): A Spanish adaptation and validation of perceived parental reactions scale.","authors":"Juan E Nebot-Garcia, Rafael Ballester-Arnal, Estefanía Ruiz-Palomino, Olga Fernández-García, María Dolores Gil-Llario","doi":"10.1111/famp.13047","DOIUrl":"https://doi.org/10.1111/famp.13047","url":null,"abstract":"Family reactions to coming out can affect the mental health of individuals who disclose their sexual orientation or gender identity. Therefore, it is important to have an appropriate tool to assess them. The Perceived Parental Reactions Scale (PPRS) assessed perceived parental reactions to the disclosure of gay, lesbian, or bisexual sexual orientation by their children. We adapted the PPRS so that it can be answered by any individual belonging to a sexual or gender minority, and can be answered regarding any member of the family, not just parents. A total of 2627 individuals from Spain participated in this study, with a mean age of 31.59 (SD = 11.26). Participants completed the adapted PPRS questionnaire, now named the Family Reaction to Coming Out (FRCO). The FRCO assessed family reactions when disclosing their sexual orientation or gender identity. The majority of participants identified as cisgender men (47.5%) or cisgender women (44.9%), and as gay/lesbian (51.9%). A one-factor model emerged through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The FRCO displayed excellent internal consistency and demonstrated good levels of invariance for participants' gender (male vs female vs nonbinary gender), family member's gender (male vs female), and type of family member (parents vs other family member). Supporting convergent validity, the FRCO has shown a positive correlation with fear of family reaction to coming out. These findings support the validity and reliability of the FRCO tool in assessing the reactions of any family member within the Spanish context.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stress and child internalizing symptoms: Examining the moderating role of Latino fathers' warmth and support. 压力与儿童内化症状：研究拉丁裔父亲的温暖和支持的调节作用。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-07 DOI: 10.1111/famp.13046

Yvita Bustos, Jefferson Uriarte, Karen Glownia, Alex Leon, Catherine DeCarlo Santiago

{"title":"Stress and child internalizing symptoms: Examining the moderating role of Latino fathers' warmth and support.","authors":"Yvita Bustos, Jefferson Uriarte, Karen Glownia, Alex Leon, Catherine DeCarlo Santiago","doi":"10.1111/famp.13046","DOIUrl":"https://doi.org/10.1111/famp.13046","url":null,"abstract":"Latino immigrants within the United States experience various stressors, which have been linked to the development and exacerbation of internalizing symptoms among Latino youth. Therefore, it is crucial to explore factors that may buffer the impact of stress among immigrant families. Fathers may influence child outcomes through positive parenting behaviors, yet Latino fathers have been underrepresented in research. This study examined how paternal warmth and support may moderate the association between the accumulation of stress and child internalizing symptoms among low-income, Latino immigrant families. Participants included 62 children between the ages of 6 and 10, and their paternal caregivers (94% fathers; 90% born in Mexico). This study utilized a multi-method approach including parent-report, child-report and observational measures. Participants completed questionnaires and video-recorded family interaction tasks during home visits. Stress was positively associated with child-reported depression. Self-reported paternal warmth was associated with fewer parent-reported child internalizing symptoms and moderated the effects of stress on symptoms. Analyses showed a significant positive association between paternal stress and child internalizing symptoms for children with the lowest levels of parental warmth. However, when paternal warmth was high, accumulation of stress and child internalizing symptoms were not related. Thus, high levels of warmth buffered the impact of stress on internalizing symptoms. This study highlights the importance of Latino fathers' parenting behaviors on child internalizing symptoms.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the effectiveness and feasibility of the Experienced Carers Helping Others program in relatives of adolescents with eating disorders using an online application format with individual sessions. 评估 "有经验的照顾者帮助他人 "计划的有效性和可行性，该计划针对患有饮食失调症的青少年亲属，采用在线申请的形式，并提供个别辅导。

IF 2.6 3区心理学

Family Process Pub Date : 2024-08-07 DOI: 10.1111/famp.13049

Álvaro Ruiz, Yolanda Quiles, Eva León-Zarceño, Maria José Quiles, María Roncero, Ricardo Sanmartin

{"title":"Assessing the effectiveness and feasibility of the Experienced Carers Helping Others program in relatives of adolescents with eating disorders using an online application format with individual sessions.","authors":"Álvaro Ruiz, Yolanda Quiles, Eva León-Zarceño, Maria José Quiles, María Roncero, Ricardo Sanmartin","doi":"10.1111/famp.13049","DOIUrl":"https://doi.org/10.1111/famp.13049","url":null,"abstract":"Eating disorders (ED) usually involve hospital admission and a high relapse rate, with the return home being a critical moment for patients and their families. After their return home, they often have trouble incorporating the guidelines they have learned into their daily context. ECHOMANTRA intervention program aims to facilitate this transition by offering psychological strategies that involve both patients and their families and carers. Specifically, the ECHO program is aimed at the relatives of these patients. The present study aimed to analyze the efficacy of adding the ECHO program to the usual treatment (TAU) of relatives through a novel format based on individual intervention and with an online format and to examine the acceptability and feasibility of this new format. The study design was multi-center, randomized, controlled, with a longitudinal design and comparing two parallel groups. A total of 108 family members participated. Results indicated that relatives from both groups, TAU and ECHO + TAU, showed improvements in expressed emotion, accommodation, impact of the ED, emotional well-being, and caregiver skills. However, effect sizes in the ECHO + TAU group were slightly larger than the TAU group. In addition, the changes were greater in depression and caregiver skills when the ECHO component was added. Most caregivers (81.48%) completed the ECHO and indicated a high level of satisfaction with the program. These results suggest the efficacy and the feasibility of adding the ECHO intervention program to the usual treatment in an individual online format.","PeriodicalId":51396,"journal":{"name":"Family Process","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0